<!DOCTYPE html PUBLIC "-//W3C//DTD XHTML 1.0 Transitional//EN" 
 "http://www.w3.org/TR/xhtml1/DTD/xhtml1-transitional.dtd"> 
<html xmlns="http://www.w3.org/1999/xhtml"> 
<head> 
 <title>New User Registration</title> 
 <meta http-equiv="Content-Type" 
   content="text/html; charset=iso-8859-1" /> 
</head> 
<body> 

<h3>New User Registration Form</h3> 
<p><font color="orangered" size="+1"><tt><b>*</b></tt></font> 
  indicates a required field</p> 
<form method="post" action="<?=$_SERVER['PHP_SELF']?>"> 
<table border="0" cellpadding="0" cellspacing="5"> 
   <tr> 
       <td align="right"> 
           <p>User ID</p> 
       </td> 
       <td> 
           <input name="newid" type="text" maxlength="100" size="25" /> 
           <font color="orangered" size="+1"><tt><b>*</b></tt></font> 
       </td> 
   </tr> 
   <tr> 
       <td align="right"> 
           <p>Full Name</p> 
       </td> 
       <td> 
           <input name="newname" type="text" maxlength="100" size="25" /> 
           <font color="orangered" size="+1"><tt><b>*</b></tt></font> 
       </td> 
   </tr> 
   <tr> 
       <td align="right"> 
           <p>E-Mail Address</p> 
       </td> 
       <td> 
           <input name="newemail" type="text" maxlength="100" size="25" /> 
           <font color="orangered" size="+1"><tt><b>*</b></tt></font> 
       </td> 
   </tr> 
   <tr valign="top"> 
       <td align="right"> 
           <p>Other Notes</p> 
       </td> 
       <td> 
           <textarea wrap="soft" name="newnotes" rows="5" cols="30"></textarea> 
       </td> 
   </tr> 
   <tr> 
       <td align="right" colspan="2"> 
           <hr noshade="noshade" /> 
           <input type="reset" value="Reset Form" /> 
           <input type="submit" name="submitok" value="   OK   " /> 
       </td> 
   </tr> 
</table> 
</form> 

</body> 
</html>

